Care Worker

Integrated Resources, Inc

San Diego, California

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JOB DETAILS

JOB TYPE

Contractor

SKILLS

Analysis Skills, Behavioral Health, Career Development, Case Management, Clinical Support, Community and Social Services, Computer Skills, Data Collection, Disease Prevention and Control, Distribution Management, Employee Retention, Hospital, Identify Issues, Mail Processing, Managed Care, Medical Terminology, Mentoring, Microsoft Excel, Microsoft Office, Microsoft Outlook, Microsoft Word, Pain Management, Patient Care, Psychiatry and Mental Health, Quality of Care, Staff Training, Talent Management, Utilization Management

LOCATION

San Diego, California

POSTED

2 days ago

Care WorkerIntegrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity.Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that are meant for the long term and align skills and cultures. At IRI, we know that our success is directly tied to our clients' success.Job DescriptionFacilitates department workflow by supporting clinical team with various care coordination workflows. Locates community services and other referral locations for enrollees, arranges access to care, supports communication with hospitals, and providers.Essential functions include:Provides non-clinical support to workflows involving utilization management, case management, disease management, and health promotion.Trouble shoots when an appropriate provider, type of service, or appropriate level of care cannot be readily found.Has current knowledge or researches availability of community resources and services and link members to appropriate services. May assist in transitions in care for hospitalized patients and makes appropriate placements, if needed.Assumes responsibility for self-development and career progression. Proactively seeks and participates in ongoing training (formal and informal) in all aspects of the Care Worker role. Assists in the mentoring and training of new Care Workers. Remains responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.Coordinates and manages distribution of correspondence and materials to enrollees and providers.Participates in operational activities, including data collection, tracking, and analysis.Experience in a managed care environment, integrated medical and behavioral health care and/or training in chronic pain management.Understanding of plan benefit structures, psychiatric/medical terminology, and local communication resources.QualificationsAssociate's Degree required / Bachelor's Degree preferred.1 years' experience in a managed care environment preferred.Computer skills are a must and have to be able to MICROSOFT OFFICE (Specifically WORD, EXCEL & OUTLOOK)- proficient with type proficiently.Additional InformationAll your information will be kept confidential according to EEO guidelines.

Care Worker

Integrated Resources, Inc

San Diego, California

About the Company

Integrated Resources, Inc

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